Individual
SHADDY YOUNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1145 BORDENTOWN AVE, SUITE # 10, PARLIN, NJ 08859
(732) 727-0400
(732) 727-1391
Mailing address
1145 BORDENTOWN AVE, SUITE # 10, PARLIN, NJ 08859
(732) 727-5376
(732) 727-1391
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA72961
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004413
—
NJ
Enumeration date
01/30/2006
Last updated
09/27/2011
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